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    Manufacturer-Info

    Please fill this form out carefully. You may bring printed form to any of our Virginia Stores along with the vacuum that you would like us repair.

    Important: We will need at least 2 forms of identification to provide you a loaner
    Vacuums Unlimited
    474 Elden Street
    Herndon VA 20170
    (In K-mart Shopping Center)
    703-471-7979
    Vacuums Unlimited
    Chantilly
    14500 Lee Rd Suite G and H
    Chantilly Va 20151 703-961-1740
     warehouse@govacuum.com
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    Name:
    Address:
    City: State:
    Zip: Home Phone:
    Work Phone: Fax:
       
    Brand of Vacuum: Model# (if known) :
    Serial# (if known) :
    Problem with vacuum:
    How old is the vacuum?
    Additional Comments:
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